AddictionHelp.com

Compare What Programs Can Offer

Record the actual answer, not just “yes.” Ask how the program will address the needs identified in your assessment. An unanswered box stays unconfirmed. Keep brief notes here; use the Additional Treatment Notes sheet for longer answers.

Download Fillable PDF

No email or account is required. Use the PDF or printed spaces for private notes. This guide does not collect worksheet answers. Save and reopen a completed PDF to check your notes.

Fictional examples of call notes. Neither program represents a real provider or a recommendation.

Worked Example: Compare Answers, Not Advertising

Scroll the table sideways on a small screen to compare all columns.

QuestionProgram AProgram B
AssessmentClinician appointment available TuesdayAssessment process not yet explained
ScheduleEvening visits describedVisit times unconfirmed
Medication careCan arrange an outside consultationNeed to ask
CostEstimate requestedEstimate requested

A useful next step is to ask Program B who conducts the assessment and when visits are offered. Ask Program A how the outside consultation is arranged and billed. The notes help you ask clearer questions; they do not choose a level of care for you.

Program / contact / date

Program A
Record the answer and who confirmed it. Leave missing answers unconfirmed.
Program B
Record the answer and who confirmed it. Leave missing answers unconfirmed.

Assessment and your role in the plan

Program A
Record the answer and who confirmed it. Leave missing answers unconfirmed.
Program B
Record the answer and who confirmed it. Leave missing answers unconfirmed.

Staff qualifications / how to verify

Program A
Record the answer and who confirmed it. Leave missing answers unconfirmed.
Program B
Record the answer and who confirmed it. Leave missing answers unconfirmed.

Services and treatment approach

Program A
Record the answer and who confirmed it. Leave missing answers unconfirmed.
Program B
Record the answer and who confirmed it. Leave missing answers unconfirmed.

Medication care, if relevant

Program A
Record the answer and who confirmed it. Leave missing answers unconfirmed.
Program B
Record the answer and who confirmed it. Leave missing answers unconfirmed.

Visit schedule / start date / travel

Program A
Record the answer and who confirmed it. Leave missing answers unconfirmed.
Program B
Record the answer and who confirmed it. Leave missing answers unconfirmed.

Cost estimate / separate charges

Program A
Record the answer and who confirmed it. Leave missing answers unconfirmed.
Program B
Record the answer and who confirmed it. Leave missing answers unconfirmed.

Other care and follow-up support

Program A
Record the answer and who confirmed it. Leave missing answers unconfirmed.
Program B
Record the answer and who confirmed it. Leave missing answers unconfirmed.

Sources: [3] [2]

Additional Treatment Notes

Keep longer answers here and label each with the program, question and date. If you need more room, print another copy of this sheet or keep a separate private note.

Longer answer or explanation
Program / question / date, followed by the details you need to keep.
Another answer or comparison
Label the provider and question so you can match this to your comparison sheet.
Still unconfirmed and next contact
What needs checking, who can answer and how you will follow up.

Sources

  1. SAMHSA: Asking for help
  2. NIAAA: Questions for treatment programs
  3. SAMHSA: Choosing quality treatment

Related Resources